Pressure and inspiratory flow characteristics of dry powder inhalers - 23/08/11
Abstract |
This study compared inspiratory characteristics of the Novolizer® and Turbuhaler®. Sixty patients with obstructive lung disease (40 asthmatics, 20 patients with COPD) and without DPI experience were enrolled into this investigator initiated, randomized, cross-over study. Collected data of 56 patients were eligible for analysis. Inspiratory pressure and inspiratory flow through both devices were measured in every patient using a double-beam oscilloscope. Peak inspiratory flow (PIF), duration of inspiratory flow >60l/min and increase in inspiratory pressure were significantly higher in the Novolizer® group. In addition, the inspiratory flow rate 0.1s after beginning of inhalation was over two-times higher at inhalation through the Novolizer® compared to inhalation through the Turbuhaler®. The Turbuhaler® data, but not the Novolizer® data, showed a significant negative correlation between lung function and inspiratory flow. The dynamic resistance of the Turbuhaler® was 5.5-times higher than that of the Novolizer®. Patients using the Turbuhaler® had to invest a significantly higher inspiratory effort compared to the use of the Novolizer® in order to achieve the same inspiratory flow (e.g., 60l/min). Indeed, more than 40% of the patients in the Turbuhaler® group failed to reach an inspiratory flow of 60l/min. Overall, patients inhaling through the Novolizer® had a better inhalation performance than those inhaling through the Turbuhaler®.
Le texte complet de cet article est disponible en PDF.Keywords : Novolizer®, Turbuhaler®, Inspiratory flow, Inspiratory pressure, Dynamic resistance
Abbreviations : CFC, DPI, FEV1, FPF, P0.1, PIF, pMDI
Plan
Vol 98 - N° S1
P. S22-S28 - avril 2004 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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